HomeMy WebLinkAboutPermit Electrical 2005-10-10
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LEGAL DESCRIPTION
)7032721-
07 S-Z 7
JOB DESCRIPTION
GAR.AG.f REMO€>€:L
, Permits are non-transferable and expire if work is Each Manufact'd Home or
~ not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
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Electrical Contractor t AS r5/ Dc (LIE C. .t.qg~bl''f~Jse Otegon 0\11\\'1(\"
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Address 3<6~5 3 g05CAGE' L/Vln\lOVltU\e~2h~pt\t6''6Ud~s\1'\952.00t'l
~oti\ica\iOn (i~A:/rtp9~lc&o,Anip's"'e tuleS <>
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City '(L '17 Y n Phone ..J...L - 7 .~t'1"' 'IOU ~"uu m!3~OItS r catiOn $375,00
0090. , \~~el!t &\Y, \.l\ili\'i \'lo\\ I $ 50,00
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y 7.2 7 5' {lutnb~f&1m\tM~ire1X!~1~ftW4m~I.\,~t\(~~.
$50,00
6'$,00
$ 63,00
$ 75,00
$125,00
$163,00
Supervisor License Number
Expiration Date
)0-0/- (')7
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
, Over 600 Amps or 1000 Volts see "B" above,
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New Alteration or Extension Per P~l!el,
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 50,00
$ 69,00
$100,00
Constr, Contr, Number 117 7 ? 0
Expiration Date J 0 .. O}- 06
Signature of Supervising Electrician
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ownersNarn~5~ 1Ar-.e
Address If) F:7 Lat.L...ltvC;v frrI
s? F~ Phone 7'{( - OOS""b
$ 43.00
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$ 3,00
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Inspection Request: 726.3769
S 50,00
$ 50,00
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00882
ISSUED: 08/0112005
APPLIED: 07/11/2005
EXPIRES: 04/06/2006
VALUE: $ 28,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1087 LOCRA VEN AVE
ASSESSOR'S PARCEL NO.: 1703272207529
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Garage conversion
'Owner: SUSAN PAYNE
Address: 1087 LOCRA VEN AVE
SPRINGFIELD OR 97477
Phone Number: 541-741-0056
, CONTRACTOR INFORMATION ,
~'-
Contractor o."s\\'O'O ~\J\\i\\'\\'0 License
JAMIE L STANDllt~R'O OI'O~o '0 'O'O\\~IJ\' 67328
EASTSID~~C1N,€.; '0.1 ,?!S'/.'., i 117770
JA~ 'tfu;l\'O~~~'O'O IOn'" 01>:':.p, I~W' 158262
1>-"\\ ~~ \0\'0'" C;e~W'~\CJ 'BuiiJDING'INFORMA TION I
'O\\?\C'O.\\O~ .r;;:,r;;:".\j 'f;)\'O.\" - oW'' ':"''.\ "W,
# of Units: ~o\\' ~ (?,S'/. 'O.'lo ,'01, ~~\ofSto,~~s:'l'
Primary Occupancy Gro'IPp\>1" '!Ooit3 G'O~ OI'O~('Height'of Structure
^9VO \'(\~ e ?>"\)
Secondary Occupancy GrOlJp, ^\\~~ '0\ ~ ''0,. Type of Heat:
Primary Construction Type C?> ~'O~VN'O~\'O\ \ Water Type:
Secondary Construction Type:(\U v Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Expiration Date
06/18/2007
10/04/2006
01/12/2006
Phone
541-729-2482
541-915-9828
541-484-7440
Contractor Type
General
Electrical
Plumbing
Wall Heat
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Path 1
nla
Street Improvements:
Storm Sewer Available:
Special Instruction:
I DEVELOPMENT INFORMATION ,
~IRED PARKING
Overlay Dist: t~ ~~~
# Street Trees Rqd: ~~ ~~, dicapped:
Paved Drive Rqd: \. ~ u.\~ ~\:l ~~ ompact:
% of Lot cove~"f:.: ~ ':I't.~~~~ '\~~\\~~
.,).~:"\ .nY~~':, \)'J: \':1 ~l.
I PUBLIC IMPROw~~tp~ ~~~
I'. .tI\<'~ ~~ .
Fully Improved c.l;)~~ ,ro'i:J, SIdewalk Type: Setback 5'
Yes ~~ DownspoutslDrains: Curb and Gutter
\
Fronty,ard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
Palle 1 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00882
ISSUED: 08/0112005
APPLIED: 07/11/2005
EXPIRES: 04/06/2006
VALUE: $ 28,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Valuation Descrintion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
28,000.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$28,000.00
$28,000.00
07/1112005
FpPo. PliILI
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $157.27 7/11105 2200500000000000907
-Mechanical Issuance Fee-- $10.00 8/1/05 1200500000000001120
+ 10% Administrative Fee $33.20 8/1/05 1200500000000001120
+ 7% State Surcharge $23.24 8/1/05 1200500000000001120
- Appliance Not Listed $18.00 8/1/05 1200500000000001120
Building Permit $241.95 8/1/05 1200500000000001120
Dryer Vent $6.00 8/1/05 1200500000000001120
Fixture $42.00 r 8/1/05 1200500000000001120
MinimumfAdjustment Mechanical $15.00 8/1/05 1200500000000001120
MinimumfAdjustment Plumbing $3.00 8/1/05 1200500000000001120
Sanitary Sewer - Improvement $133.49 8/1/05 1200500000000001120
Sanitary Sewer - Reimbursement $175.49 8/1/05 1200500000000001120
SDC Sanitary/Storm Admin $15.45 8/1/05 1200500000000001120
Vent Fan $6.00 8/1/05 1200500000000001120
+ 10% Administrative Fee $8.10 10/6/05 2200500000000001390
+ 7% State Surcharge $5.67 10/6/05 2200500000000001390
Add, Alter, Extend Circ Ea Add $18.00 10/6/05 2200500000000001390
Perm ServlFdr 200 amps or less $63.00 10/6/05 2200500000000001390
Total Amount Paid $974.86
I Plan Reviews I
Initial Review 07/21/2005 07/21/2005 APP SKG
Plan nine Review 07/2112005 07/28/2005 APP TAJ No Planning review required.
Public Works Review 07/21/2005 07/22/2005 APP CAS New bathroom SDC Fee
Structural Review 07/21/2005 07/26/2005 APP JB Approved as noted on plans
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
~enllirp.rU"nsnections I
Post and Beam: Prior to floor insulation or decking.
Paee 2 of3
.
. CITY VI' ~rK11'1ut<lJ'..LJJ
Building/Combination Permit
PERMIT NO: COM2005-00882
ISSUED: 08/0112005
APPLIED: 07/1112005
EXPIRES: 04/0612006
VALUE: $ 28,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after aU rough In Inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mecbanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify tbat all
information hereon is true and correct, and I further certify that any and aU work performed shall be done in accordance witb
the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the
street, that the permit card Is located at the front of the property, and the approved set of plans wlll remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!e 3 of3
225 Fifth Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
Payments:
Type of Payment
CreditCard
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.
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10/6/2005
.
RECEIPT #:
~\
JiJ..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001390
Date: 10/06/2005
Description
Penn ServlFdr 200 amps or less
Add, Alter, Extend Cire Ea Add
+ 7% Slate Surcharge
+ 10% Administrative Fee
Paid By
ROGER KING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 05592B In Person
Payment Total:
Page 1 of I
I:S9:04PM
Amount Due; .
63,00 '
18,00
5,67
8,10
$94.77
Amount Paid
$94,77
$94.77
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